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Do i have UC or CD

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Crohn's Disease
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Posted 2/28/2017 2:10 AM (GMT 0)
Hi everyone, I have a fistula near anus for almost 10 years and decided to get a colonoscopy test. To my surprise, the findings are suggestive of IBD, but I never have any of IBD related symptoms, never get tired never lose weight and never have diarrhea. I had diarrhea for almost 1 week after colonoscopy pre. Could colonoscopy pre caused the inflammation? Also I had 10 days of antibiotic for anal fistula before colonoscopy, is it possible antibiotic caused the colitis? Following are the result of pathology report, could anyone identify the result?

A ILEUM BIOPSY: NON-SPECIFIC ACTIVE ILEITIS

B COLON ASCENDING BIOPSY: NON-SPECIFIC ACTIVE COLITIS

C COLON TRANSVERSE BIOPSY: COLONIC MUCOSA WITH NO SIGNIFICANT PATHOLOGIC ABNORMALITY

D COLON DESCENDING BIOPSY: MILD ACTIVE CHRONIC COLITIS

E COLON SIGMOID BIOPSY: ACTIVE CHRONIC COLITIS

F RECTUM-BIOPSY: ACTIVE CHRONIC COLITIS
Posted 2/28/2017 3:05 AM (GMT 0)
A peri-anal fistula indicates likely Crohn's disease. The biopsies from the colonoscopy are consistent with this as well.

UC hardly ever involves the anus, and hardly ever involves a fistula. Crohn's can affect the anus and can lead to a fistula. Also, in Crohn's the inflammation can be patchy and can affect the ileum. That too is consistent with your report, in which the ileum shows inflammation; the right (ascending) colon does too; the transverse colon is clear; and then the left side shows inflammation again.
Posted 2/28/2017 3:07 AM (GMT 0)
Your inflammation may be mild enough that you don't have the typical Crohn's symptoms of fatigue, diarrhea, pain, etc. But the presence of the fistula indicates there is more-than-mild disease activity in the anal region.
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